Market Segmentation and Competition in Health Insurance

S-Tier
Journal: Journal of Political Economy
Year: 2024
Volume: 132
Issue: 1
Pages: 96 - 148

Authors (3)

Michael J. Dickstein (not in RePEc) Kate Ho Nathaniel Mark (not in RePEc)

Score contribution per author:

2.681 = (α=2.01 / 3 authors) × 4.0x S-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

In the United States, households obtain health insurance through distinct market segments. To explore the economics of this segmentation, we consider the effects of pooling coverage provided through small employers and through individual marketplaces. We model households’ demand for insurance and health care along with insurers’ price setting to predict equilibrium choices and premiums. Applying our model to data from Oregon, we find that pooling can mitigate adverse selection in the individual market and benefit small group households without raising taxpayer costs. Our estimates provide insight into the effects of new regulations that allow employers to shift coverage to individual marketplaces.

Technical Details

RePEc Handle
repec:ucp:jpolec:doi:10.1086/725707
Journal Field
General
Author Count
3
Added to Database
2026-02-02